From Mexico to Vienna: The work of the Alliance

Dr Hirotsugu AIGA

GHWA Coordinator

On behalf of Mubashar Sheikh

Executive Director

Global Health Workforce Alliance

XVIII International AIDS Conference, Vienna, Austria

21 July 2010

Alliance 2008 Mexico Satellite – Universal Access: competing priorities or interconnected solutions?

Issues: HIV vs. HRH: building synergiesStigma & discrimination

Commitments: Mexico 2008: a starting point 57 HRH crisis countries to report back on progress IAS convener around HIV and HRH

The Global Health Workforce Alliance

A global partnership dedicated to address the healthworkforce crisis

– ABC: Advocacy, Brokering knowledge, Convening

• First Global Forum on HRH – Kampala Declaration and Agenda for Global Action

• Communities of Practice• Country Coordination and Facilitation

The roadmap : Kampala Declaration and Agenda for Global Action

1. Building coherent national and global leadership

2. Ensuring capacity for an informed response based on evidence and joint learning

3. Scaling up education and training4. Retaining an effective, responsive and

equitably distributed health workforce

5. Managing pressures of the international health workforce market and its impact on migration

6. Securing additional and more productive investment in the health workforce

Six strategies to address the global health workforce crisis:

• 2009 Baseline report commissioned by WHO and the Alliance• 2010 progress monitoring phase• Examples of progress since Kampala:

– Global (G8, Gates, Code of practice on migration, African Union)– Country:

• Ethiopia, Pakistan and Ghana • Tanzania and Zambia• Rwanda

Monitoring the Kampala Declaration and Agenda for Global Action

A systematic review on CHWs

• CHWs provide a range of services from preventive health education on malaria, TB, HIV/AIDS, STDs and NCDs to their treatment

• But low coverage of CHW strategies/ programmes

Recommendations:

1. CHWs to be included in national HRH plans

2. Communities should contribute to CHWs identification

3. Pre-service training to include preventive/ curative care

4. CHWs to monitor community needs and demographics

5. CHWs should be able to have referral links

6. Need for regular supportive supervision and monitoring

Task shifting

• Task shifting practices are increasing

Community health worker cadres have an important role to ensure high coverage of health services

• Formal policy around task shifting is required to guarantee proper functionality

• Retention mechanisms will complement the process to warrant the individuals remaining

Task forces and Technical Working Groups

• Knowledge brokering strategy and activities is a key element of GHWA

• The Alliance is facilitating capacity building at country level through the application of GHWA products through its Thematic Task Forces and Technical Working groups on: – Tools and guidelines – Scaling Up Education and Training– Financing– Private Sector involvement – Human Resources for Health Information Reference Group– Global Advisory Council/Health Workforce Migration Initiative– Positive Practices Environment Campaign– Universal Access to HIV/AIDS

=> Country Coordination and Facilitation (CCF)

Task forces and Technical Working Groups

Universal Access Technical Working Group

aims to assess the HRH implications of scaling up

universal access to HIV prevention, treatment, care and support to reach MDGs

Thank you and see you at the